Doctors on Wheel Chicago LTD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036130652 Issued in IL

Legal business name

DOCTORS ON WHEEL CHICAGO LTD

Practice address

2720 S River Rd Ste 142
Des Plaines, IL 60018-4106

Phone

(242) 601-0082

NPI assigned

Dec 17, 2015

Last updated

Oct 29, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anthony Mark Delizo III

Title

Managing Director

Phone

(224) 601-0082

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Theresa De Rosas, AGPCNP-BC

  • Nurse Practitioner
  • Addison, IL
  • NPI 1366000341
  NPD (past)
• Reena Susan Mathew, APN

  • Nurse Practitioner
  • Des Plaines, IL
  • NPI 1639772593
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1881059863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 S RIVER RD STE 142",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184106",
            "telephone_number": "224-601-0082",
            "fax_number": "224-678-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 S RIVER RD STE 142",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184106",
            "telephone_number": "242-601-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS ON WHEEL CHICAGO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "DELIZO III",
        "authorized_official_first_name": "ANTHONY MARK",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "224-601-0082"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036130652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Home Health Services LLC
• Izabela Dlugosz, DDS
• Anh DO
• Lisa Van Hong DO, PHARM.D.
• Doc Chiropractic, P.C.
• Carole M Dolgin, LCSW
• Benjamin Domb, M.D.
• Laura Dominguez, N.C.P.T.
• Shervin Dorodi, MD
• Devendra R Doshi, PHARMACIST

• General Practice Physician in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.